| Nixa Counseling Center, Inc | |
|
214 Village Center B Nixa MO 65714-0927 | |
| (417) 725-8922 | |
| (417) 725-8983 |
| Full Name | Nixa Counseling Center, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 214 Village Center, Nixa, Missouri |
| Authorized Official Name and Position | Steven Alan Gritzmacher (PRESIDENT) |
| Authorized Official Contact | 4177258922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nixa Counseling Center, Inc Po Box 927 Nixa MO 65714-0927 Ph: (417) 725-8922 | Nixa Counseling Center, Inc 214 Village Center B Nixa MO 65714-0927 Ph: (417) 725-8922 |
| NPI Number | 1578644092 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578644092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | R0454 (Missouri) | Primary |
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